Individual provider · Type 1 NPI
Michael Mongiello, DC, CACCP
Chiropractor · Marietta, GA
NPI number
1699414250
Active
Practice location
1120 Havel Dr SW
Marietta, GA 30008-8149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR010773 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1699414250
Michael Mongiello, DC, CACCP's National Provider Identifier is 1699414250, issued on Jun 1, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marietta, GA. The record was last updated on Jun 1, 2022.